Altered touch perception and associated risk factors in individuals with diabetes mellitus

Rev Bras Enferm. 2020;73(6):e20190473. doi: 10.1590/0034-7167-2019-0473. Epub 2020 Aug 14.
[Article in Portuguese, English]

Abstract

Objective: To evaluate the prevalence of altered touch perception in the feet of individuals with diabetes mellitus and the associated risk factors.

Method: Cross-sectional study with 224 individuals with diabetes mellitus conducted in an endocrinology clinic at a public hospital in Campina Grande, Paraíba. The evaluation used touch sensitivity and perception, and a descriptive and multivariate analysis with Poisson regression was performed.

Results: We found the prevalence of altered touch perception to be 53.1%. The risk factors that had a significant and joint impact on its occurrence were: female gender; previous ulcer; diabetes mellitus type 2; burning sensation, cracks, fissures, calluses, and Charcot foot.

Conclusions: This study found a high prevalence of altered perception of touch, and this should support the planning of actions aimed at preventing the problem. The study showed the relevance of the phenomenon as a nursing diagnosis that could be included in NANDA-International.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 1 / complications*
  • Diabetes Mellitus, Type 1 / epidemiology
  • Diabetes Mellitus, Type 2 / complications*
  • Diabetes Mellitus, Type 2 / epidemiology
  • Diabetic Neuropathies / epidemiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Peripheral Nerves / physiopathology
  • Prevalence
  • Risk Factors
  • Sensation Disorders / epidemiology*
  • Sex Distribution
  • Touch Perception*